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The school nurse administers methylphenidate to an adolescent with Attention Deficit Hyperactivity Disorder (ADHD). When evaluating the drug's effectiveness, which information is most important for the nurse to review?
- A. Parent's report about behavior.
- B. Current grade report.
- C. Self-report about treatment progress.
- D. Past grade report.
Correct Answer: A
Rationale: Parents' reports on behavior provide critical insights into ADHD symptom management across settings, essential for evaluating methylphenidate's effectiveness.
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The city health department director asks the community health nurse to make a presentation describing the greatest health concern facing the city. How should the nurse begin to collect the data needed for this presentation?
- A. Review morbidity data for the city's population compiled by the Bureau of Vital Statistics.
- B. Conduct a random telephone survey to determine the public's perception about health problems.
- C. Call American Medical Association members to determine the most frequently treated diagnoses.
- D. Survey major hospitals in the area to determine the most common reasons for admissions.
Correct Answer: A
Rationale: Morbidity data from the Bureau of Vital Statistics provides comprehensive, objective information on disease prevalence, identifying major health concerns.
A client comes to the public health clinic requesting information about which immunizations to receive prior to visiting a developing nation. Which immunization should the nurse recommend as a priority for this client?
- A. Hepatitis B vaccine.
- B. Influenza vaccine.
- C. Tetanus toxoid vaccine.
- D. Hepatitis A vaccine.
Correct Answer: D
Rationale: Hepatitis A vaccine is prioritized for travel to developing nations due to high risk of transmission through contaminated food and water.
Which annual screening should the nurse include when planning an eye health program at a preschool?
- A. Glaucoma.
- B. Red light reflex.
- C. Visual acuity.
- D. Conjunctivitis.
Correct Answer: C
Rationale: Visual acuity screening is essential for preschoolers to detect vision issues like amblyopia or refractive errors that could impact development and learning, making it the priority for annual eye health programs.
The nurse is planning a health fair for high school students. Which assessment is most important for the nurse to obtain?
- A. Weight and height.
- B. Sexual activity.
- C. Immunization history.
- D. Visual acuity.
Correct Answer: B
Rationale: Assessing sexual activity is critical for high school students to address sexual health, STIs, and pregnancy risks, guiding tailored education and interventions.
While reviewing the objectives for 'Healthy People 2030,' the nurse determines that the community has a significant problem in preventing dental caries among children. To bring about change that addresses this identified community health problem, which is the best place to initiate a prevention program?
- A. Hospital emergency departments.
- B. The local shopping mall.
- C. Women, Infant, and Children office.
- D. Community youth center.
Correct Answer: C
Rationale: The WIC office targets low-income families with young children, ideal for dental caries prevention through education and resources.